best determine..... - a_antibody

[ArchivalUser]

A 44-year-old woman with a history of
recurrent biliary colic presents with
18 hours of very severe right upper
quadrant pain, fever, and jaundice. An
abdominal ultrasound reveals a
markedly dilated common bile duct.
Multiple gallstones are seen in the
gallbladder. Which of the following
would best determine whether there is
cystic duct obstruction?


A. Abdominal CT scan

B. Abdominal MRI

C. Abdominal ultrasound with
Doppler flow studies

D. Endoscopic retrograde
cholangiopancreatograph (ERCP)

E. HIDA scan

[ArchivalUser]

i think d...but maybe c also ...

[ArchivalUser]

d..

[ArchivalUser]

D.

[ArchivalUser]

d .

[ArchivalUser]

DD

[ArchivalUser]

I think HIDA Scan.. is used when the ultrasound is not clear cut...i know you guys think it is ERCP which i know is mostly for common bile duct obstruction. So my answer is E.

[ArchivalUser]

E. Is Best Test after an Inconclusive Abd US to determine Bile Flow

[ArchivalUser]

d and e both seems to be correct but since it's asking cystic duct obstruction ..i go with HIDA ....E

[ArchivalUser]

ERCP is best for -- Dx for Biliary & pancreatic pathology and therapeutic (Sphincterectomey, Release Bile Flow & Remove Stones if Present)